Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-10-08-2

Project Information

Project IdentifiersProject ID: 214511
DEA: 010E0004
EFIS: 0113000091
DIST-CO-RTE-PM01-HUM-101-84.4/84.8
Award Date01/29/2020
Closeout DateNot set
Work DescriptionBRIDGE RAIL REPLACEMENT.
Location DescriptionHUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
QA Service Level1 (Verified on 11/13/2019)

Sample Information

Sample Taken Date10/08/2021 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/15/2021
Sample typeQuality Assurance A brief description of the sample(26) #6 HRC 555 Reduced Size
The quantity of what the sample constitutes(4) #6 HRC 555 Reduced Size From where was the sample collectedManufacturer
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of sampler Telephone number of sampler9515000685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCamblin Steel Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-118-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Headed Bars Production or Authorization TestingProduction Testing
Rebar Heat Number(s)4111946 Head Manufacturer Lot Number(s)Lot 1
Rebar Size#6 Headed Bar Model NameType 555 4FG 17 01
Size of HeadReduced Size - 4x Head Connection TypeForged
Head ShapeCircular Rebar ManufacturerCMC Rebar
Head ManufacturerCamblin Steel Service Head FabricatorHRC
Material Standard CodeASTM A706

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-08-2-1ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory10/12/2021fsaylor
Yes
10/12/2021OK Necking
2021-10-08-2-2ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory10/12/2021fsaylor
Yes
10/12/2021OK Necking
2021-10-08-2-3ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory10/12/2021fsaylor
Yes
10/12/2021OK Necking